Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
School of Nursing, Dalian University, Dalian 116622, China.
Int J Environ Res Public Health. 2022 Mar 30;19(7):4094. doi: 10.3390/ijerph19074094.
Rates of perinatal depression in China are high. The Thinking Healthy Programme is a WHO-endorsed, evidence-based psychosocial intervention for perinatal depression, requiring five days of face-to-face training by a specialist trainer. Given the paucity of specialist trainers and logistical challenges, standardized training of large numbers of nurses is a major challenge for scaling up. We developed an electronic training programme (e-training) which eliminates the need for specialist-led, face-to-face training. The aim of this study was to evaluate the effectiveness of the e-training compared to conventional face-to-face training in nursing students.
A single blind, non-inferiority, randomized controlled trial was conducted. One hundred nursing students from two nursing schools were randomly assigned to either e-training or conventional face-to-face training.
E-training was not inferior to specialist-led face-to-face training immediately post-training [mean ENhancing Assessment of Common Therapeutic factors (ENACT) score (M) 45.73, standard deviation (SD) 4.03 vs. M 47.08, SD 4.53; mean difference (MD) -1.35, 95% CI; (-3.17, 0.46), = 0.14]. There was no difference in ENACT scores at three months [M = 42.16, SD 4.85 vs. M = 42.65, SD 4.65; MD = -0.481, 95% CI; (-2.35, 1.39), = 0.61].
E-training is a promising tool with comparative effectiveness to specialist-led face-to-face training. E-training can be used for training of non-specialists for evidence-based psychosocial interventions at scale and utilized where there is a shortage of specialist trainers, but practice under supervision is necessary to maintain competence. However, continued practice under supervision may be necessary to maintain competence.
中国围产期抑郁症的发病率很高。思维健康计划是世界卫生组织认可的一种针对围产期抑郁症的基于证据的心理社会干预措施，需要由一名专家培训师进行五天的面对面培训。鉴于专家培训师的匮乏和后勤方面的挑战，对大量护士进行标准化培训是扩大规模的主要挑战。我们开发了一种电子培训计划（e-training），该计划无需专家主导的面对面培训。本研究的目的是评估电子培训相对于护理学生传统的面对面培训的有效性。
这是一项单盲、非劣效性、随机对照试验。从两所护理学校招募了 100 名护理学生，随机分配到电子培训或传统的面对面培训组。
电子培训在培训后即刻并不逊于专家主导的面对面培训[强化常见治疗因素评估量表（ENACT）评分的平均差值（MD）为-1.35，95%置信区间（CI）为（-3.17，0.46），P = 0.14]。在三个月时，ENACT 评分没有差异[平均 M = 42.16，标准差（SD）为 4.85 vs. M = 42.65，SD 为 4.65；MD = -0.481，95%CI 为（-2.35，1.39），P = 0.61]。
电子培训是一种有前途的工具，与专家主导的面对面培训具有相当的效果。电子培训可用于培训非专业人员进行基于证据的心理社会干预措施，在缺乏专家培训师的情况下进行大规模培训，但需要在监督下进行实践以保持能力。然而，为了保持能力，可能需要继续在监督下进行实践。
